2016 Prajna Summer Day Camp Registration
For more information see:
http://www.prajna4me.org/main/wp-content/uploads/2016/04/P_01_Summer_Camp_2016_04_27_v17_OB.pdf

Tuition Fees are due on 1st day of your camp. Kindly notify of changes so organizers can plan better. Tuition can be applied towards DCAP.

Summer Camper Weeks *
Required
Kid's Name *
Your answer
Age Group *
Sibling 1 Name
Your answer
Sibling 1 Age Group
Sibling 2 Name
Your answer
Sibling 2 Age Group
Mother's Name *
Your answer
Father's Name *
Your answer
Parent's email *
Your answer
Address *
Your answer
Primary phone number *
Your answer
Allergies
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone number *
Your answer
Emergency Contact Email
Your answer
How did you hear about us? *
Required
I have the following question(s):
Your answer
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